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Suggest Treatment For Erection Problem In A Diabetic Patient
Question: Dear Sir,
I am diabetic patient 52 year old one month before my marriage my penis are very stiff good response to masterbution once ejaculated maximmum quantity of sperms, but now with the wife very poor erction please give me how to success the first night
I am diabetic patient 52 year old one month before my marriage my penis are very stiff good response to masterbution once ejaculated maximmum quantity of sperms, but now with the wife very poor erction please give me how to success the first night
Brief Answer:
likely psychological or performance anxiety but provide more information,
Detailed Answer:
Hello,
Welcome to HCM.
After reviewing your query,it seems that your erectile problem is most likely psychological or due to performance anxiety.
However, I would require some more information before giving any further suggestions.
Kindly give a few more basic details,
1) Regarding your libido (i.e intention to have intercourse),
2) Do you have nocturnal penile erections when you sleep, especially in the early mornings,
3) Also, if you can quantify the degree of poor erection on a scale of 1-10, it would be useful to assess response.
4) How is your married life?
5) How did problem started? Any specific incidence was there?
6) Do you pay more attention to erection while trying for intercourse with your wife?
7) What is your blood sugar level recently? is it controlled with medications?
8) Is there any history of smoking or alcohol since long time?
Kindly get back to me with this more information.I will be happy to help you after getting this answers from you.
Awaiting your response.
Regards,
Dr.Sandip Kabra
likely psychological or performance anxiety but provide more information,
Detailed Answer:
Hello,
Welcome to HCM.
After reviewing your query,it seems that your erectile problem is most likely psychological or due to performance anxiety.
However, I would require some more information before giving any further suggestions.
Kindly give a few more basic details,
1) Regarding your libido (i.e intention to have intercourse),
2) Do you have nocturnal penile erections when you sleep, especially in the early mornings,
3) Also, if you can quantify the degree of poor erection on a scale of 1-10, it would be useful to assess response.
4) How is your married life?
5) How did problem started? Any specific incidence was there?
6) Do you pay more attention to erection while trying for intercourse with your wife?
7) What is your blood sugar level recently? is it controlled with medications?
8) Is there any history of smoking or alcohol since long time?
Kindly get back to me with this more information.I will be happy to help you after getting this answers from you.
Awaiting your response.
Regards,
Dr.Sandip Kabra
Above answer was peer-reviewed by :
Dr. Prasad
Dear Doctor Reply for your query,
1. Intention to penetrate, so for not achieved since married 7 times tried
2.Yes having nocturnal penile erection in the morning
3. degree is 5
4. Good understanding wife she is 41 years she also feels her vaginal opening is too small
5.I do not know. A week back before marriage fully erected more quantity of sperm
ejaculated during masterbution
6. Yes to penetrate in to the tight vagina
7.Random checked now with accu-chek is 177 mg/gl
8. yes I had habit of smoking and drinking
1. Intention to penetrate, so for not achieved since married 7 times tried
2.Yes having nocturnal penile erection in the morning
3. degree is 5
4. Good understanding wife she is 41 years she also feels her vaginal opening is too small
5.I do not know. A week back before marriage fully erected more quantity of sperm
ejaculated during masterbution
6. Yes to penetrate in to the tight vagina
7.Random checked now with accu-chek is 177 mg/gl
8. yes I had habit of smoking and drinking
Brief Answer:
likely psychological or performance anxiety
Detailed Answer:
Hello,
Thanks for sharing more information.
After reviewing all your answers,it seems that your erectile problems are most likely psychological or due to performance anxiety.
Stop becoming more anxious because if you feel more anxious and worried or keep having doubts about intercourse like you may not be able to perform properly, then this anxiety itself will worsen the problem.
Anti-anxiety medications (ex.recita forte) can also be taken to relieve from anxiety just before intercourse by the written prescription from some local physician.
Try to be relaxed and enjoy yourself and don't keep on thinking like how long am I going to last or will I ejaculate too early or will I be able to satisfy my partner etc.
Wait until you and your partner gets fully aroused and involved by doing more foreplay and then things keep flowing smoothly and effortlessly.
Another problem is tightness of vagina or small vaginal opening.
This happen in many females.It is likely vaginismus. For that you should discuss with your wife whether she has any fear of pain or something else when you insert penis. She should be counseled for the same.
Spend more time in foreplay to make her arouse. During foreplay she may feel some secretion in vagina which is there for lubrication. After that if you will insert penis it will be easy.She should be properly relaxed, so her pelvic muscles remain relaxed and thus there will be no vaginal tightness.
If there is dryness in vagina, you can use KY jelly lubricant just before sex. It is non-toxic and safe.
In addition to this,below listed measures will help also you to boost up your confidence and getting good erection and have enjoyable sex.
1) Do regular exercises for about 30 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3) Take anti oxidants like Almonds 5-6 everyday.
4) Sunlight exposure inhibits the body’s natural production of melatonin, a hormone that helps us to sleep and also reduces our sexual urges.
It means lesser the melatonin hormone,you will have more sexual desire.
So have adequate sunlight exposure in daytime to reduce the production of melatonin.
5) Paying attention to your partner’s desires and talking about this before hand can make sex pleasurable for both of you.
6) Engaging more in foreplay with your partner before intercourse as discussed above.
7) Avoid alcohol and smoking.These can narrow blood vessels of penis and have been linked to erectile issue.
Most probably,you will see an improvement in 2 to 3 weeks with above precautions.
Hope this will help.
Regards,
Dr.Sandip kabra
likely psychological or performance anxiety
Detailed Answer:
Hello,
Thanks for sharing more information.
After reviewing all your answers,it seems that your erectile problems are most likely psychological or due to performance anxiety.
Stop becoming more anxious because if you feel more anxious and worried or keep having doubts about intercourse like you may not be able to perform properly, then this anxiety itself will worsen the problem.
Anti-anxiety medications (ex.recita forte) can also be taken to relieve from anxiety just before intercourse by the written prescription from some local physician.
Try to be relaxed and enjoy yourself and don't keep on thinking like how long am I going to last or will I ejaculate too early or will I be able to satisfy my partner etc.
Wait until you and your partner gets fully aroused and involved by doing more foreplay and then things keep flowing smoothly and effortlessly.
Another problem is tightness of vagina or small vaginal opening.
This happen in many females.It is likely vaginismus. For that you should discuss with your wife whether she has any fear of pain or something else when you insert penis. She should be counseled for the same.
Spend more time in foreplay to make her arouse. During foreplay she may feel some secretion in vagina which is there for lubrication. After that if you will insert penis it will be easy.She should be properly relaxed, so her pelvic muscles remain relaxed and thus there will be no vaginal tightness.
If there is dryness in vagina, you can use KY jelly lubricant just before sex. It is non-toxic and safe.
In addition to this,below listed measures will help also you to boost up your confidence and getting good erection and have enjoyable sex.
1) Do regular exercises for about 30 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3) Take anti oxidants like Almonds 5-6 everyday.
4) Sunlight exposure inhibits the body’s natural production of melatonin, a hormone that helps us to sleep and also reduces our sexual urges.
It means lesser the melatonin hormone,you will have more sexual desire.
So have adequate sunlight exposure in daytime to reduce the production of melatonin.
5) Paying attention to your partner’s desires and talking about this before hand can make sex pleasurable for both of you.
6) Engaging more in foreplay with your partner before intercourse as discussed above.
7) Avoid alcohol and smoking.These can narrow blood vessels of penis and have been linked to erectile issue.
Most probably,you will see an improvement in 2 to 3 weeks with above precautions.
Hope this will help.
Regards,
Dr.Sandip kabra
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Answered by
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